NPI 1154900181

Sharon Marie Eveningred, PTA

Practitioner Physical Therapy Assistant Clinton Twp, MI

Practice location

Address: 16301 19 Mile Rd, Clinton Twp, MI 48038-1104
Phone: (586) 263-2480
Mailing address: 48675 American Elm Dr, Macomb, MI 48044-1429

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 5502000027 (MI)

Other Physical Therapy Assistant providers in Michigan →

Registry record

NPI: 1154900181
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Apr 2021
Record last updated: 6 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.